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ORL emergencies boot camp: Using simulation to onboard residents
Author(s) -
Malekzadeh Sonya,
Malloy Kelly M.,
Chu Eugenia E.,
Tompkins Jared,
Battista Alexis,
Deutsch Ellen S.
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.22146
Subject(s) - otorhinolaryngology , medicine , triage , airway management , checklist , medical emergency , intubation , confidence interval , test (biology) , medical education , emergency medicine , psychology , surgery , cognitive psychology , paleontology , biology
Objectives/Hypothesis: Incoming otolaryngology residents are expected to triage and manage airway, bleeding, and other emergencies with little prior experience. Simulation‐based education has become increasingly important as it provides tools to develop psychomotor skills and judgment early in residency, using realistic experiences while eliminating patient risk. We hypothesize that a Boot Camp course emphasizing basic otolaryngology management will increase participants' confidence and be perceived as useful in developing their knowledge, technical skills, self‐confidence, and improving clinical performance, both immediately and 6 months following the course. Study Design: Survey. Methods: A 1‐day Boot Camp was developed consisting of six technical skills stations (mask ventilation, intubation, flexible laryngoscopy, microlaryngoscopy/bronchoscopy, epistaxis control, and cricothyroidotomy); a session involving telephone inquiry triage, and two complex airway scenarios addressing medical management and emphasizing team leadership. Residents completed questionnaires before, immediately, and 6 months following course completion. Results: Thirty residents enrolled, 27 participated in the course, and 24 completed all three surveys. Previous experiences and confidence levels were variable; 26 of 30 (87%) identified emergency airway management as a concern before attending the course. A Fisher's exact test demonstrated improved confidence ( P < .05) for every skill. An overwhelming majority of participants agreed or strongly agreed the intervention was useful in developing their knowledge, technical skills, self‐confidence, and improving clinical performance. Conclusions: An intensive, simulation‐based Boot Camp addressing airway, bleeding, and other otolaryngology emergencies was successful in improving junior otolaryngology residents' confidence and was perceived as useful in developing knowledge, technical skills, self‐confidence, and improving clinical performance.